Abstract:
:More than 20 years of serological approach to diagnosis of celiac disease (CD) has deeply changed the classical clinical presentation of the disease, and some reports indicate that CD and obesity can coexist in both childhood and adolescence. We reviewed clinical records of 149 children with CD followed in our institution between 1991 and 2007, considering weight, height and body mass index (BMI), both at diagnosis and after at least 12 months of gluten-free diet (GFD). In all, 11% of patients had BMI z-score >+1 and 3% were obese (z-score >+2) at presentation. In our population, there was a significant (P=0.008) increase in BMI z-score after GFD and the percentage of overweight (z-score >+1) subjects almost doubled (11 vs 21%, P=0.03). Our data suggest the need for a careful follow-up of nutritional status after diagnosis of CD, especially addressing those who are already overweight at presentation.
journal_name
Eur J Clin Nutrjournal_title
European journal of clinical nutritionauthors
Valletta E,Fornaro M,Cipolli M,Conte S,Bissolo F,Danchielli Cdoi
10.1038/ejcn.2010.161subject
Has Abstractpub_date
2010-11-01 00:00:00pages
1371-2issue
11eissn
0954-3007issn
1476-5640pii
ejcn2010161journal_volume
64pub_type
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